Brooke Laforty Shaw, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016291 Issued in NY

Practice address

16722 County Route 156
Watertown, NY 13601-5762

Phone

(315) 782-2817

NPI assigned

Nov 4, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1316191380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16722 COUNTY ROUTE 156",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16722 COUNTY ROUTE 156",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015762",
            "telephone_number": "315-782-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BROOKE",
        "middle_name": "LAFORTY",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven-Jade Harlequinn Shaddows
• Kylie Shafer, PT, DPT, PCS
• Lacey E Shambo, DNP-BC
• Mark Patrick Sharrow
• Heather Mary Shattuck, PTMS
• Jana Shaw, MD
• Beverly Shepard, N.P.
• David Peter Shepard, M.A., CCC-SLP
• Deana Shepard
• Angel J Shepherd

• Speech-Language Pathologist in Watertown, NY
• Providers in Watertown, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.